A Surgical Case of Kommerell's Diverticulum with a Right-Sided Aortic Arch
10.4326/jjcvs.38.368
- VernacularTitle:右側大動脈弓に伴う Kommerell 憩室の1例
- Author:
Shingo Harada
;
Yoshinobu Nakamura
;
Akira Marumoto
;
Munehiro Saiki
;
Shingo Ishiguro
;
Motonobu Nishimura
- Publication Type:Journal Article
- Keywords:
right aortic arch;
Kommerell's diverticulum
- From:Japanese Journal of Cardiovascular Surgery
2009;38(6):368-371
- CountryJapan
- Language:Japanese
-
Abstract:
A 51-year-old man, with an abnormal shadow on chest X-ray film, was found to have a right-sided aortic arch with mirror-image branching and Kommerell's diverticulum. Neither congenital heart anomalies nor vascular ring was observed. We performed descending aorta replacement with a HemashieldTM 24-mm graft, because the trachea and esophagus were compressed by the diverticulum, and to eliminate the risks of aneurysmal change or rupture. The operation was performed through right thoracotomy, and with total CPB under deep hypothermic circulatory arrest. The patient was discharged on the 18th postoperative day. This is rare adulthood case of right aortic arch with Kommerell's diverticulum and no anomalies in the heart.
